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Janice Ellis <br />From: support@civicplus.com <br />Sent: Wednesday, May 11, 2011 9:57 PM <br />To: Janice Ellis; Denene Taylor <br />Subject: Online Form Submittal: Application for Boards / Committee / Commission <br />If you are having problems viewing this HTML email, click to view a Text version. <br />Application for Boards / Committee / Commission <br />The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its <br />standing boarcls, commissions, and committees. tn general, it is the CiEy Courtcii's pplicy to appotnt persons to a maximum of two <br />consecutlve fuH three-year terms on a gfven body. In addition to the general qualiflca#ions lisfed fn the certiftcation below, other <br />qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. <br />First Name' Bennie Last Tschoemer <br />Name' <br />Address` 1911 Hamson <br />City" Paris State" TX Zip" (X) 75460 O 75462 <br />Telephone <br />7~1 <br />903.784 <br />4001 <br />(903) 123-4567' <br />. <br />Areas of Interest" <br />Airport Advisory Board [?l Municipal Band Commission <br />Building & Standards Commission [ 1 Paris/Lamar County Board of <br />[ ] Civil Service Commission Health <br />[X] Economic Development [Xl Planning & Zoning Commission <br />Corporation [ j Public Library Advisory Boarc! <br />Historic Preservation Commission E 1 Traffic Commission <br />Nousing Authority Board of [X] Zorting BoarcJ of Adjustment <br />Commissioners <br />Please note any special knowledge, education, or <br />ri <br />[ ] Street Advisory BoaM <br />Since retirement from Paris ISD, work with a namber of or <br />anizati <br />i <br />h <br />expe <br />ence you have that is applicable to the function <br />of the board, commission, or committee of interest <br />g <br />ons w <br />t <br />online (intemet) database applications.. orgartizations indude USDLA (United <br />States Distance Leaming Assn) <br />Univ <br />of Colorado <br />UT-T <br />f <br />C <br />(attach additionai pages if necessary). If applicable, <br />list dates of service on any City boards <br />, <br />. <br />, <br />e <br />e <br />ampus, <br />WCET(Westem Cooperative for Educational Telecommunications), etc.. also <br />, <br />commissions, or committees. <br />currently am an adjunct instructor at PJC. Resume (not updated since I retired <br />in 2006) can be vie <br />d <br />t <br />h <br />we <br />a <br />: <br />ttp://www.conconnect.net/BIO-Bennie <br />Tschoemer.pdf NOTE: the URL above is listed since I saw no way to ATTACH <br />Certification and Authorization <br />additional pages!!!???!! <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding <br />nepotism and conflicts of interest of appointees to City boards, commissions, and committees. t also certify that if appointed I wilt <br />attend at teast 75 percent of aU regular meetings and shalf not have any delinquent indebEedness to the City during my term. I <br />understand that the number of positions on a given board, commission, or committee is timited and that I may not be appointed; <br />hawever, if I am not appointed, I agree to be placed in a database fw possible future notiftcation of topics of interest. I certify that tlie <br />information given by me in this application is true and correct and any fatse information or misrepresentation is sufficient grounds for <br />disqualification. I authorize the City of Paris to verify all information provided in this apptication. In accordance with Section 552 of the <br />Local GovemmerA Cade, I understand that information provided tn this application may be availabfe to the public upon request.* <br />[Xj Agree <br />' indicates required fields. <br />[ l Disagree <br />129 <br />